ARKANSAS CVS PHARMACY, L.L.C. (NPI# 1912306036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912306036 |
| Entity Type | Organization |
| Organization Name | ARKANSAS CVS PHARMACY, L.L.C. |
| Other Organization Name | CVS PHARMACY # 10409 |
| Practice Address |
2402 N. College Avenue Fayetteville AR 72703-3308 |
| Mailing Address |
One Cvs Drive Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 4792511872 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2015-06-29 |
| Authorized Official Name | SUSAN COLBERT (DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017651500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | AR | Suppliers | |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
AR | Suppliers | |
| Y | 333600000X | Pharmacy | AR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 206422407 | 05 | |
| AR | NCPDP | 0424820 | 01 |
| AR | DME | 206422407 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY # 10409 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700334455 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 110 Southwest Drive, Jonesboro, AR 72401-5827 | 2016-09-12 |
| 1962852954 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1122 S. University Ave, Little Rock, AR 72204 | 2016-06-21 |
| 1154796530 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 609 Military Road, Benton, AR 72015-3706 | 2015-12-10 |
| 1609248913 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1501 West Kings Hwy, Paragould, AR 72450-4010 | 2015-10-26 |
| 1215304969 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 8902 Geyer Springs Rd, Little Rock, AR 72209-6421 | 2015-08-28 |
| 1003294646 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 3220 N Reynolds Rd, Bryant, AR 72022-9039 | 2015-05-15 |
| 1619368792 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2001 S Thompson St, Springdale, AR 72764-6329 | 2015-02-11 |
| 1396151403 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2833 Bella Vista Way, Bella Vista, AR 72714-3709 | 2014-07-09 |
| 1225443104 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2015 Fayetteville Road, Van Buren, AR 72956 | 2014-06-30 |
| 1831504257 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 8604 Highway 107, Sherwood, AR 72120-2902 | 2014-06-24 |
| Street Address |
2402 N. COLLEGE AVENUE |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-3308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
| 1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
| Find all providers in zip 72703 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548767619 | Atlanta Id Group, P.C. | Pharmacy | 1265 Highway 54 West, Suite 500-c, Fayetteville, GA 30214 | 2018-04-06 |
| 1760924088 | Clear Med Solutions LLC | Pharmacy | 1450 E Zion Rd Ste 3, Fayetteville, AR 72703-4988 | 2016-11-17 |
| 1386005148 | New River Health Association, Inc | Pharmacy | 217 W Maple Ave, Fayetteville, WV 25840-1413 | 2016-03-08 |
| 1417336686 | Valley Discount Pharmacy Incorporated | Pharmacy | 317 Owen Dr, Fayetteville, NC 28304-3429 | 2015-05-21 |
| 1780973693 | Walmart Inc. | Pharmacy | 3475 Black Forest Dr, Fayetteville, AR 72704-6524 | 2011-03-31 |
| 1417182296 | Cumberland County Hospital System Inc | Pharmacy | 101 Robeson St Ste 107, Fayetteville, NC 28301-5520 | 2009-05-21 |
| 1326183922 | Carolina Family Pharmacy,inc | Pharmacy | 2800 Raeford Rd Ste 18, Suite 18, Fayetteville, NC 28303-5465 | 2007-02-21 |
| 1730248733 | Carolina Family Pharmacy Inc | Pharmacy | 2800 18 Raeford Rd, Fayetteville, NC 28303 | 2006-12-06 |
| 1548328677 | Carters At Stone Bridge LLC | Pharmacy | 6 Eldad Rd, Fayetteville, TN 37334-7005 | 2006-12-04 |
| 1568537140 | Zimm Pharmacy Inc | Pharmacy | 239 N Court St, Fayetteville, WV 25840-1233 | 2006-11-21 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
Please comment or provide details below to improve the information on ARKANSAS CVS PHARMACY, L.L.C..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.